Individual provider · Type 1 NPI

Deronda Vynette Terry, LPC

Professional Counselor · Memphis, TN

NPI number 1639265085 Active

Practice location

6005 Park Ave Ste 630B
Memphis, TN 38119-5226

Other practice locations

  • 3810 Winchester Rd, Southeast Mental Health Center, Memphis, TN 38118-9007 · (901) 369-1420

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1639265085

Deronda Vynette Terry, LPC's National Provider Identifier is 1639265085, issued on Oct 5, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Memphis, TN. The record was last updated on Sep 19, 2018.